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Comment & Response |

Choosing Wisely Recommendations Using Administrative Claims Data

Alberto Donzelli, MD1; Alessandra Lafranconi, MD2
[+] Author Affiliations
1Dipartimento SSB Cure Primarie, ASL of Milan, Milan, Italy
2Università Degli Studi Milano-Bicocca, Milan, Italy
JAMA Intern Med. 2016;176(4):565-566. doi:10.1001/jamainternmed.2016.0357.
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To the Editor The population-based analysis of 7 recommendations from the Choosing Wisely campaign by Rosenberg et al1 shows minimal changes equally distributed across desirable decreases, disappointing increases, or null effects. What is not working?

In some cases it is the wording of the recommendation itself; eg, “do not routinely prescribe antibiotics for mild-to-moderate acute sinusitis unless symptoms last ≥7 d”1(p1916) cannot work because the rationale itself states “acute rhinosinusitis resolves without treatment… in 2 weeks.”1(p1916)

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April 1, 2016
Geoffrey B. Crawford, MD, MS; Jeffrey Clyman, MD, MPH; David S. Chiou, BA
1Anthem Inc Office of Medical Policy and Technology Assessment, Chicago, Illinois
2Anthem Inc RHI Clinical Analytics, Columbia, Maryland
JAMA Intern Med. 2016;176(4):564. doi:10.1001/jamainternmed.2016.0342.
April 1, 2016
Daniel B. Wolfson, MHSA
1ABIM Foundation, Philadelphia, Pennsylvania
JAMA Intern Med. 2016;176(4):565. doi:10.1001/jamainternmed.2016.0345.
April 1, 2016
Abiy Agiro, PhD; Andrea DeVries, PhD; Alan Rosenberg, MD
1Payer and Provider Research, HealthCore Inc, Wilmington, Delaware
2Medical and Pharmacy Policy, Anthem Inc, Chicago, Illinois
JAMA Intern Med. 2016;176(4):566. doi:10.1001/jamainternmed.2016.0371.
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